Are Medical Expenses Tax Deductible? - NerdWallet (2024)

If you or your dependents have been in the hospital or had other costly medical or dental expenses, keep those receipts — they could help cut your tax bill. Here's a look at how the medical expense deduction works and how you can make the most of it.

Medical expense deduction 2023

For 2023 tax returns filed in 2024, taxpayers can deduct qualified, unreimbursed medical expenses that are more than 7.5% of their 2023 adjusted gross income. The 7.5% threshold used to be 10%, but legislative changes at the end of 2019 lowered it.

Example: If your adjusted gross income is $40,000, anything beyond the first $3,000 of medical bills — or 7.5% of your AGI — could be deductible. That means if you had $10,000 in medical bills, you may be able to write off $7,000 worth of those expenses.

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What kind of medical expenses are tax deductible?

IRS Publication 502 has the full list, but in a nutshell here's what counts as a medical expense.

  • Payments to doctors, dentists, surgeons, chiropractors, psychiatrists, psychologists and other medical practitioners.

  • Hospital and nursing home care.

  • Acupuncture.

  • Addiction programs, including for quitting smoking.

  • Weight-loss programs for doctor-diagnosed diseases (but food and health club dues usually don’t count).

  • Insulin and prescription drugs.

  • Admission and transportation to medical conferences about diseases that you, your spouse or your dependents have (but meals and lodging don’t count).

  • Dentures, eyeglasses, contacts, hearing aids, crutches, wheelchairs and service animals.

  • Transportation costs to and from medical care.

  • Insurance premiums for medical care or long-term care insurance if they’re not paid by your employer and you pay out of pocket after taxes.

Other rules for the medical expense deduction

  • You can only include the medical expenses you paid during the year.

  • You can’t include expenses you were reimbursed for (so if insurance paid the bill, it’s not deductible).

What kind of medical expenses are not tax deductible?

  • Funeral expenses.

  • Over-the-counter medicines.

  • Toothpaste, toiletries and cosmetics.

  • Most cosmetic surgery.

  • Nicotine gum and patches that don't require a prescription.

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How to claim the medical expense deduction

You'll need to take the following steps.

Itemize on your taxes

First, you’ll need to itemize instead of taking the standard deduction. For reference, the standard deduction for tax year 2023 ranges from $13,850 to $27,700, depending on your filing status. If your standard deduction ends up being less than your itemized deductions, you may want to itemize to save money. On the other hand, if your standard deduction is more than your itemized deductions, taking the standard deduction will save you some time. (Read more about itemizing versus taking the standard deduction.)

Use Schedule A

Schedule A allows you to do the math to calculate your deduction. Your tax software can walk you through the steps.

Is it worth claiming medical expenses on taxes? Consider your filing status

Filing separately if you’re married could get you a bigger medical expense deduction, but this move is risky because you might lose other tax breaks. Let’s say your spouse had $6,000 in medical bills last year. If you file jointly and your combined AGI is $100,000, then only the portion of your medical bills over 7.5% of that — or the portion over $7,500 — is deductible. So in this scenario, you can’t deduct any of your $6,000 in medical bills.

Now, let’s say you file separately. Your AGI is $75,000 and your spouse’s AGI is $25,000. Because the medical bills are your spouse’s, they could deduct anything over 7.5% of that $25,000 AGI, or $1,875. That would mean a $4,125 tax deduction for filing separately.

» MORE: See what tax filing status you should use

Keep good records

Hang onto those bills, and ask for records from your pharmacy or other care providers to fill in the holes, says Peter Gurian, a Dallas-area certified public accountant.

“If you're taking this deduction, you're probably pretty sick or you've got some problems that need to be dealt with. If that's the case, then the key is to really do a good job of keeping track of every single expense and expenditure,” he says.

State thresholds for the medical expense deduction

Your state might have a lower AGI threshold, which could save you money, says Chris Whalen, a certified public accountant in Red Bank, New Jersey. In New Jersey, for example, the AGI threshold for deducting medical expenses is just 2%, which means taxpayers there might get a break on their state income taxes even if they can’t get one on their federal income taxes.

Whalen says it’s important to find out what your state’s rule is; you might leave money on the table otherwise.

“I see it every year, all the time,” he says.

Are Medical Expenses Tax Deductible? - NerdWallet (2024)

FAQs

Is it worth claiming medical expenses on taxes? ›

Normally, you should only claim the medical expenses deduction if your itemized deductions are greater than your Standard Deduction (TurboTax can also do this calculation for you). If you elect to itemize, you must use IRS Form 1040 to file your taxes and attach Schedule A.

Are medical expenses 100% deductible? ›

How Much of the Expenses Can You Deduct? Generally, you can deduct on Schedule A (Form 1040) only the amount of your medical and dental expenses that is more than 7.5% of your AGI.

What is the IRS rule for deducting medical expenses? ›

Medical Expense Deduction

On Form 1040, medical and dental expenses are deducted on Schedule A, Itemized Deductions. You can deduct only the amount of your medical and dental expenses that is more than 7.5 percent of your adjusted gross income shown on Form 1040, line 38.

What proof do I need to deduct medical expenses? ›

You should also keep a statement or itemized invoice showing: What medical care was received. Who received the care. The nature and purpose of any medical expenses.

How much do you get back in taxes for medical expenses? ›

Calculating Your Medical Expense Deduction

This threshold was originally scheduled to go up to 10% of AGI in 2019, but the 7.5% of AGI was extended to tax year 2021. The Consolidated Appropriations Act of 2021 made the 7.5% threshold permanent. You can get your deduction by taking your AGI and multiplying it by 7.5%.

Can you write off medical premiums on your taxes? ›

You can include health insurance premiums in your medical expense calculations. However, certain premiums are not eligible for medical expense deductions. You cannot include the following premiums in your tax deductions: Life insurance policies.

Will I get audited for medical expenses? ›

This is not a huge red flag for everyone. As you get older in age, the IRS likely becomes more tolerant of medical expense deductions and, therefore, would be less likely to select you for examination based on this category alone.

Why are my medical expenses not deductible? ›

If you want to deduct medical expenses, they must alleviate or prevent a physical or mental defect or illness. You can't deduct expenses that simply benefit general health, like vitamins or a vacation.

Can I deduct prescriptions on my taxes? ›

The IRS allows you to deduct expenses for many medically necessary products and services, including surgeries, prescription medications, and dental and vision care. You can't deduct medical expenses that are for general health purposes, like nutritional supplements and vitamins.

How much does the IRS allow for medical expenses? ›

You can only deduct unreimbursed medical expenses that exceed 7.5% of your adjusted gross income (AGI), found on line 11 of your 2023 Form 1040.

Are copays tax deductible? ›

You may deduct co-pays and other medical expenses if you have enough deductions to itemize on your Schedule A. Review the TurboTax article: What Are Itemized Tax Deductions? to find out if you have other deductions to itemize.

Is homeowners insurance tax deductible? ›

Some taxpayers have asked if homeowner's insurance is tax deductible. Here's the skinny: You can only deduct homeowner's insurance premiums paid on rental properties. Homeowner's insurance is never tax deductible your main home.

Can seniors deduct medical expenses on taxes? ›

Many available deductions might apply to you as an older adult. Among the most advantageous for seniors include deductions for medical, dental, and long-term care costs.

Are eyeglasses a deductible medical expense? ›

The money spent on reading or prescription eyeglasses can be considered a tax-deductible medical expense. By categorizing glasses under "medical expenses" and itemizing deductions on form 104, Schedule A, you may be able to lower your tax burden.

Do I need to keep receipts for medical expenses? ›

The Internal Revenue Service (IRS) generally recommends that individuals keep records related to tax deductions for up to 7 years. Medical bills and receipts can be pivotal for tax deductions, especially for those with significant healthcare expenses.

Should I keep track of medical expenses for taxes? ›

However, because of the high Standard Deduction and the 7.5% of AGI threshold requirement, it can be difficult to benefit unless you have a lot of out-of-pocket costs. Still, it's a good idea to track those expenses throughout the year and keep copies of receipts.

Is it better to deduct medical expenses pre or post tax? ›

Having a portion of your income allocated toward a pre-tax health benefit can save you up to 40% on income and payroll taxes for that portion. Also, pre-tax medical premiums are excluded from federal income tax, Social Security tax, Medicare tax, and typically state and local income tax.

What deductions can you take without itemizing? ›

You can deduct these expenses whether you take the standard deduction or itemize:
  • Alimony payments.
  • Business use of your car.
  • Business use of your home.
  • Money you put in an IRA.
  • Money you put in health savings accounts.
  • Penalties on early withdrawals from savings.
  • Student loan interest.
  • Teacher expenses.
Aug 14, 2024

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